Guatemala is a very diverse country; it is considered pluricultural, multiethnic, and multilingual. I grew up in Guatemala City and was raised in a very culturally aware family (my mother is a social scientist and my father is a public health specialist). In medical school, I took medical anthropology and learned of the importance of understanding local culture (the social behavior and norms in human societies) when treating patients. I did not know some of the concepts I learned in class would be so important in my personal life and career ahead. I took this class before and while doing a three-month community medicine rotation in one of Guatemala’s municipalities, San Juan Sacatepéquez. In this community, that is a 45-minute drive away from Guatemala City, we cared predominantly for patients of Mayan descent. In class, we learned about the Kakchiquel ethnic group, their culture and plural health system. We explored topics related to cultural change, cultural relativism, ethnomedicine, culture shock and ethnocentrism.
When I look back at the past couple of years that I’ve spent as an internal medicine resident in the US, the major feeling is an overwhelming sense of gratitude and pride. It is not an easy accomplishment to come to a new land to embark on a 3-year journey (more for others) of learning and growing. What made this journey easier is the friendliness and acceptance of everybody here.
Let me start by giving you a brief summary of my background and upbringing. I grew up in 3 different continents; Europe (UK), Asia (Oman), and Africa (Egypt). I had only visited the US once during that time period; as a 12-year-old for a week-long trip to Disneyworld. I graduated from medical school in Egypt and I knew all along that it was my dream to come to the US to do my residency and learn at the forefront of medical education.